Splenic metastasis from a lung cancer is infrequently noted, however, the p
attern of the metastasis has not been studied, thus we conducted a retrospe
ctive study. Twelve of the consecutive 997 patients with lung cancer., who
were admitted to our division, developed splenic metastasis. The pattern of
splenic metastasis involved solitary nodule in 7 patients (58.3%); multipl
e nodules in 4, and microscopic metastasis in 1. All of the 12 patients had
other abdominal organ metastasis. Splenic mass accompanying metastasis to
other abdominal organs in a patient with a known lung cancer should be rega
rded as a metastasis.